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Facial Bones Grown From Fat-Derived Stem Cells

TheClockworkSoul sends in an article up at Scientific American, from which we quote: "Stem cells so far have been used to mend tissues ranging from damaged hearts to collapsed tracheas. Now the multifaceted cells have proved successful at regrowing bone in humans. In the first procedure of its kind, doctors at Cincinnati Children's Hospital Medical Center replaced a 14-year-old boy's missing cheekbones — in part by repurposing stem cells from his own body. To create the new bones, which have become part of the patient's own skull structure and have remained securely in place for four and a half months, the medical team used a combination of fat-derived stem cells, donated bone scaffolds, growth factors, and bone-coating tissue. The technique, should it be approved for widespread use, could benefit some seven million people in the US who need more bone — everyone from cancer patients to injured war veterans."

18 of 106 comments (clear)

  1. Re:Cool by RichardJenkins · · Score: 2, Insightful

    They already can and do - all the time!

  2. Re:Cool by MyLongNickName · · Score: 2, Insightful

    And imagine those brains that become "inelastic" and slower to learn. Imagine having a body that is immortal, but a brain that is slowly losing function.

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  3. Re:Is there? by skine · · Score: 2, Interesting

    If I've read the literature right, embryonic stem cells are, in general, readily available and easily manufactured. Also, they are the best at forming to any cell type we would want.

    In contrast, adult stem cells are relatively specialized, meaning that they won't make just anything, but things that are somewhat similar.

    That is to say that adult stem cells have been immensely helpful, but we think that embryonic stem cells may be better.

  4. Re:Is there? by Shadow+of+Eternity · · Score: 3, Insightful

    is there really any reason to be against embryonic stem cells now that they can be harvested without embryo destruction, or are made from sources that would be completely discarded anyway? Really, if we could move some of the less informed political activists for less wharrgarbl we could do a lot more with both types of stem cells.

    --
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  5. Re:Is there? by SUB7IME · · Score: 5, Interesting

    The question of whether we can do "just about everything with adult stem cells" is still quite open.

    Could we get more funding dedicated to stem cells if we required that it all be used for adult stem cell research? Yes. Would that accelerate the overall pace of advances in stem cell research? Quite possibly not. There are two different games right now: the first is to see what we can do with stem cells (this is largely being done with embryonic stem cells). The second is to see how we can make adult stem cells behave like embryonic stem cells. The second game feeds back into the first. Indeed, if we get good enough at the second, we will no longer need embryonic stem cells, and we can then focus all of our energies on seeing what we can do.

    If and when we get really good at extracting or reprogramming adult cells to behave like embryonic stem cells, we will also have the side benefit of not having to worry about alloimunity (tissue rejection). For example, in the particular case being discussed here, the fear of alloimmunity was probably a key reason for making the effort to use the patient's own cells. In the meantime, from a scientific perspective, it is prudent to continue to invest in both embryonic stem cells and in research towards no longer needing embryos from which to harvest these cells.

  6. Re:Need more bone. by Shadow+of+Eternity · · Score: 2, Funny

    I think we have too many big-boned girls already...

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  7. Re:Is there? by joocemann · · Score: 2, Informative

    If I've read the literature right, embryonic stem cells are, in general, readily available and easily manufactured. Also, they are the best at forming to any cell type we would want.

    In contrast, adult stem cells are relatively specialized, meaning that they won't make just anything, but things that are somewhat similar.

    That is to say that adult stem cells have been immensely helpful, but we think that embryonic stem cells may be better.

    There are many research programs on embryonic stem cells, adult stem cells, and now induced pluripotent stem cells. All of these have many promising futures in science, yet only adult stem cells and IPSC are promising in the ever-so-influential and variable field of ethics/morality, especially those of fundamentalist origin. You are correct about the easy manufacture of embryonic stem cells. Growing stem cells is actually not hard at all and you can make relatively infinite numbers from one discarded embryo.

    On the contrary, IPSC circumvents not only the ethical issues of the field, but also many of the clinical concerns relating to transplantation, immune response, etc. Since IPSC can be derived from the patient's own tissues, the products IPSC therapies and procedures are much less likely to be rejected. For most adults, we don't have embryonic stem cells with our own DNA in it at all.

    Ultimately, I think it is way too soon to start determining which of these methods will serve best, though we can acknowledge the power of ethical values and the objection of many people to embryonic stem cells. You might find it interesting that many popular religions actually support embryonic stem cell research, though most interpretations of Christianity do not.

  8. Bone tissue vs bones by dirkdodgers · · Score: 2, Interesting

    The surgeons had to build the shape and structure of the desired bone, the scaffolding, from cadaver femur bone tissue.

    From the popular media I've been lead to believe the promise of stem cells the ability to grow specific bones, tissues, and organs, using information encoded in the cells, rather than just growing the generic tissue and shaping it artificially.

    What needs to happen for us to go from growing cheek bone tissue around scaffolding, to implanting stem cells and instructing them to build cheek bones?

    1. Re:Bone tissue vs bones by Jarik+C-Bol · · Score: 2, Insightful

      "a whole lot" the idea of programing cells to multiply and construct a particular organ/bone/body part, is FAR beyond what they have done here. for one thing, you have to be able to program cells that don't exist yet, to recognize when they are the the last ones in the part, and not to multiply again. in addition, some parts of the body part are not exactly the same as others. say you are growing a heart. the cells in the heart walls, are not going to be exactly like the cells in the heart valves. programing a few cells to start multiplying, and create these different subsets of cells, and not simply have a runaway replication issue where the cells divide and divide and make 6 heart like blobs stuck to each-other are far beyond anything we have accomplished so far. Yes, its a nice fantasy, but for now, we are stuck with creating scaffolding to guide the process, and in its present situation, its more like building a mold, and having the cells fill it.

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  9. Re:Cool by dirkdodgers · · Score: 2, Funny

    If we had the technology, would the world tolerate its use?

    Currently in first world countries being rich or being poor might make life more or less pleasant for its approximately 77 years, but so far, being the wealthiest or most powerful person in the world can't even guarantee you'll live to see 90.

    If being rich and being poor meant the difference between living to 177 instead of 77, or even 177 instead of 107, what would that do to our society?

    How many people would steal or kill to live even another 70 years? How many people would kill or go to war to allow a parent, spouse, or child to live another 70 years?

    I'd like to think that Heinz wouldn't kill to allow his wife to live another 70 years, but I don't know that I wouldn't. I don't know that I wouldn't for myself. Would you?

  10. Great possibilities for dental repair by jnelson4765 · · Score: 4, Interesting

    This technique will be a great boon for people with a massive amount of dental damage - where the jaw has been eaten away from disease, or injury has made it impossible to even use dentures. It'll likely be expensive for a long time, but for people who are facing a life of eating through a straw, and having massive facial deformities, this would be a huge change in their lives.

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  11. Re:Cool by Kohath · · Score: 2, Interesting

    That's better than a frail body with "a brain that is slowly losing function" ? Really?

  12. Re:Anglo-Saxon Intelligence: Amazing by Anonymous Coward · · Score: 2, Informative

    Americans of African descent invented the technique for preserving blood plasma, pioneered open-heart surgery, the advanced shoe lath, and a slew of peanut-derived products including paints, plastics, and dyes.

  13. Re:Cool by khallow · · Score: 2, Insightful

    And imagine those brains that become "inelastic" and slower to learn. Imagine having a body that is immortal, but a brain that is slowly losing function.

    If we can fix the body so that it no longer ages, then we can fix the brain so that it no longer ages.

  14. Re:Another success. by khallow · · Score: 5, Insightful

    At the least, we need to know if we can replicate fully the features and functions of embryonic stem cells. We'll need embryonic stem cells for that purpose alone. If adult stem cells don't work completely like embryonic stem cells, that means that we may need a supply of embryonic stem cells indefinitely as well.

  15. Re:Another success. by interkin3tic · · Score: 2, Insightful

    Tell me again why we need embryonic stem cells.

    Tell me again why you're asking on slashdot instead of reading a scientific paper on the benefits of ESC research? Tell me you don't rely on /. comments for ALL your information on important subjects of the day.

  16. Re:Cool by BikeHelmet · · Score: 3, Interesting

    And imagine those brains that become "inelastic" and slower to learn. Imagine having a body that is immortal, but a brain that is slowly losing function.

    Being 25 years old until I die of stupidity/old-age at 90? (Maybe I burned my house down? =P )

    Sign me up!

  17. Re:Too bad... by maxwell+demon · · Score: 2, Insightful

    What? Having the medical market effectively subsidized by government will not reduce the money to be made in the market, it will increase it. If there's anyone to profit from the reform, it's the medical industry. You'll pay more for it in the end, but that very fact means that the medical industry will make more money from it, and therefore will have more incentive to develop it.

    --
    The Tao of math: The numbers you can count are not the real numbers.